Which of the following is an example of appropriate documentation in a patient's electronic health record?

Prepare for the NHA Patient Care Technician Test with engaging flashcards and multi-choice questions. Enhance your skills and boost confidence for your exam!

The correct answer highlights the importance of precise and concise documentation in a patient's electronic health record (EHR). Noting that the technician on the previous shift reported giving the patient a bath at 1600 serves as a factual and time-stamped entry that contributes to the continuity of care. It provides essential information for the incoming healthcare team about the patient's hygiene needs and previous care actions.

Effective documentation should be factual, timely, and relevant to patient care. The entry that states when the bath was given reflects these characteristics, as it is a clear record of an event that occurred during a previous shift, which is critical for any follow-up care or routines.

In contrast, the other options exhibit weaknesses in documentation. Options discussing the patient's bowel movement or upset feelings can be subjective or vague without clearly indicating the significance of the detail or how it relates to the care plan. While observations on bowel movements are important, the documentation should ideally include aspects such as whether the result was normal or had any immediate implications for the patient’s health. Similarly, the documentation of the patient receiving an enema at a specific time is a future task rather than a reflection of past care, which isn’t typically used to demonstrate completed actions. Lastly, the emotional response regarding breakfast lacks object

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